Organization Active NPI

Perry Counseling Services, LLC

  • Mental Health Counselor
  • Medford, OR
National Provider Identifier
1437731601
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PERRY COUNSELING SERVICES, LLC
Practice address
107 E Main St Ste 8
Medford, OR 97501-6022
Phone
(405) 699-1104
Fax
(541) 499-0271
NPI assigned
Apr 26, 2021
Last updated
Sep 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Almyra J. Perry, LPCNPI 1043760986
Title
Owner & Counselor
Phone
(405) 699-1104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

107 E Main St Ste 8
Medford, OR 97501-6022

Mailing address

860 Ivern Dr
Central Point, OR 97502-3621
Phone (405) 699-1104

Other practice location 1

860 Ivern Dr
Central Point, OR 97502-3621
Phone (972) 839-2590

Other identifiers 1

IdentifierTypeStateIssuer
500717535MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240422001361 OR Part B Supplier - Clinic/Group Practice 0941649057 Receives reassigned benefits from 1 practitioner
Practice locations: Medford, OR

National Provider Directory

National Provider Directory

Locations

107 E Main St
Ste 8
Medford, OR 97501
Phone (541) 890-9714

24 Crater Lake Ave
Ste 4
Medford, OR 97504
Phone (405) 699-1104

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1437731601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 IVERN DR",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975023621",
            "telephone_number": "405-699-1104",
            "fax_number": "541-423-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E MAIN ST STE 8",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975016022",
            "telephone_number": "405-699-1104",
            "fax_number": "541-499-0271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "860 Ivern Dr",
            "address_purpose": "LOCATION",
            "city": "Central Point",
            "state": "OR",
            "postal_code": "975023621",
            "country_code": "US",
            "telephone_number": "972-839-2590",
            "fax_number": "541-423-5313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERRY COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "ALMYRA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER & COUNSELOR",
        "authorized_official_telephone_number": "405-699-1104",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500717535",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.